Provider Demographics
NPI:1699903260
Name:NEIGHBORHOOD CONNECTIONS, INC
Entity type:Organization
Organization Name:NEIGHBORHOOD CONNECTIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WENGERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-824-4343
Mailing Address - Street 1:PO BOX 207
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:VT
Mailing Address - Zip Code:05148-0207
Mailing Address - Country:US
Mailing Address - Phone:802-824-4343
Mailing Address - Fax:
Practice Address - Street 1:5700 VT ROUTE 100
Practice Address - Street 2:MOUNTAIN MARKETPLACE, STE. A6
Practice Address - City:LONDONDERRY
Practice Address - State:VT
Practice Address - Zip Code:05148-9400
Practice Address - Country:US
Practice Address - Phone:802-824-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty